Panoramic Radiography Flashcards

1
Q

what is tomography

A

technique allowing slices of the subject to be viewed separately

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2
Q

what are the two types of tomgraphy

A

conventional = one slice
computed = multiple slices

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3
Q

how is tomography produced

A

using different phenomena - x-rays/radio waves etc.,

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4
Q

what kind of tomography does panoramic radiographs use

A

linear tomography

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5
Q

what is linear tomography

A

the way of capturing a single, flat slice by moving the x-ray source and receptor past the area of interest during the exposure

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6
Q

what is the focal trough

A

thin band where images appear adequately sharp

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7
Q

where is the focal trough thinner

A

incisor region

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8
Q

why is the incisor region thinner in the focal trough

A

it is related to the speed of rotation at this point

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9
Q

what does orthogonal view mean

A

x-ray beam is more 90 degrees to the teeth

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10
Q

what are the advantages of an orthogonal view

A

reduces overlap of teeth to aid approximal caries assessment
improves angulation to more accurately represent interdental periodontal bone levels

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11
Q

what are the disadvantages of an orthogonal view

A

distorts rest of skeleton to varying degrees
narrower field of view so miss condyles

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12
Q

when is an orthogonal view appropriate

A

for cases requiring only caries or periodontal bone loss

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13
Q

in what direction relative to the focal trough do structures appear magnified

A

lingual to the focal trough

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14
Q

in what direction relative to the focal trough do structures appear smaller

A

buccal to the focal trough

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15
Q

if a subject is within the focal trough how much is it magnified by

A

about 25%

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16
Q

why are structures within the focal trough not distorted

A

the degree of horizontal magnification matches that vertically

17
Q

how does distortion affect subjects buccal to the focal trough

A

appear narrower

18
Q

how does distortion affect subjects lingual to the focal trough

A

appear broader

19
Q

why do teeth get distorted if lingual or buccal to the trough

A

the beam sweeps from one side of the jaws to the other but x-ray source is always lingual to the focal trough

20
Q

why are structures positioned further away from the receptor projected further up on the image

A

due to the angulation of the beam

21
Q

what are the advantages of panoramic radiographs

A

can capture entire dentition in one image
able to image non-dental areas
lack of intra-oral holders benefits some patients

22
Q

what are the disadvantages of panoramic radiographs

A

worse clarity
longer exposure time
higher radiation dose per image

23
Q

what are the main components of the OPT machine

A

x-ray tubehead, receptor, control panel, patient positioning

24
Q

how do you prepare the patient for an OPT

A

remove metal foreign bodies, position patient in machine, advise patient of tongue to roof of mouth, stand still, no swallowing

25
what apparatus helps to position the patient
bite peg, light beam markers, head grabber, chin rest
26
what is the correct positioning of the frankfurt plane and mid-sagittal plane
frankfurt - horizontal mid-sagittal - centred in midline
27
what happens if the patient is too far forward in the machine
incisors are buccal to focal trough and appear narrower
28
what happens if the patient is too far backward in the machine
incisors now lingual to focal trough and appear wider
29
what are the instructions to the patient during the scan
stay still, press tongue up against palate, not talk or swallow
30
what are the appearance of movement artefacts affected by
direction of movement, duration of movement, speed of movement, timing of movement, structures moving
31
why is no lead apron used for dental radiography
it is not justified as the beam is not directed at the abdomen
32
what is on the quality standards checklist
patient preparation/instruction adequate no patient positioning errors correct anatomical coverage good density and contrast